<%@ page language="java" import="java.util.*" pageEncoding="UTF-8"%>
<%@ include file="/WEB-INF/com/com.jsp"%>

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
  <head>
    <base href="<%=basePath%>">
     <title>add</title>
  </head>
  
  <body>
  
  <div class="panel admin-panel">
<div class="panel-head" id="add"><strong><span class="icon-pencil-square-o"></span>新增慢性病</strong></div>
<div class="body-content">
    <form method="post" class="form-x" action="<%=basePath%>/mxb/MxbPolicy_add.action">  
         <div class="form-group">
        <div class="label">
          <label>慢性病名称：</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="mxbName" data-validate="required:请输入村编号" />
          <div class="tips"></div>
        </div>
      </div>
     <div class="form-group">
        <div class="label">
          <label>慢性病详情：</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="mxbDetail" data-validate="required:请输入组名" />
          <div class="tips"></div>
        </div>
      </div>
       <div class="form-group">
        <div class="label">
          <label></label>
        </div>
        <div class="field">
          <button class="button bg-main icon-check-square-o" type="submit"> 提交</button>
        </div>
      </div>
    </form>
  </div>
</div> 
</body>
</html>
